Dr Amy Jo Clark, APNP in Sheboygan, WI - Medicare Nurse Practitioner

Dr Amy Jo Clark, APNP is a medicare enrolled "Nurse Practitioner - Family" in Sheboygan, Wisconsin. Her current practice location is 1621 N Taylor Dr Ste 100, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 452-1650.

Dr Amy Jo Clark is licensed to practice in Wisconsin (license number 7806-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265969356.

Contact Information

	Dr Amy Jo Clark, APNP
	1621 N Taylor Dr Ste 100, Sheboygan, WI 53081-1993
	(920) 452-1650
	(920) 452-3594

Map and Direction

Provider's Profile

Full Name	Dr Amy Jo Clark
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1621 N Taylor Dr Ste 100, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265969356
Provider Enumeration Date: 05/19/2017
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3779857552
Enrollment ID: I20170918001049

Medical Identifiers

Medical identifiers for Dr Amy Jo Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265969356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	161099-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	7806-33 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Amy Jo Clark allows following entities to bill medicare on her behalf.

Entity Name	Sheboygan Physicians Group S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477819902 PECOS PAC ID: 0648435214 Enrollment ID: O20120705000087

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amy Jo Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Amy Jo Clark, APNP 1621 N Taylor Dr Ste 100, Sheboygan, WI 53081-1993 Ph: (920) 452-1650	Dr Amy Jo Clark, APNP 1621 N Taylor Dr Ste 100, Sheboygan, WI 53081-1993 Ph: (920) 452-1650

Reviews and Comments

Nurse Practitioner Nurses in Sheboygan, WI

Erin Jessie Holzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Mrs. Doris U Theune, MS RN CS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 Superior Ave, Sheboygan, WI 53081 Phone: 920-453-5414 Fax: 920-803-2990
Dr. Holly Ann Bartlein, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1411 North Taylor Dr., Sheboygan, WI 53081 Phone: 920-457-4858
Dr. Amanda Beinemann, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-459-8300
Pamela A Higgins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2700 Fax: 920-828-2705
Mary Lou Roethel, MSN,NP-C,APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081 Phone: 920-496-4700
Jennifer L Thickens, APNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700

Dr Amy Jo Clark, APNP - Medicare Nurse Practitioner in Sheboygan, WI